Covid-19 Update
Lord Dubs Excerpts(3 years, 9 months ago)
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Lord Dubs (Lab) [V]
My Lords, I am sure that the Minister will be aware that domiciliary care workers are very vulnerable. They toddle around from person to person, they visit people’s homes, and the people whom they support are also vulnerable. Will the Minister ensure that domiciliary care workers are given the maximum protection, whether through vaccines or through other protective measures?
Secondly—I could not give the Minister notice of this because I only got the details a few minutes before we started—refugees are being held at the Napier Barracks in Folkstone. I am told that there are people there with Covid who are sleeping in the same dormitories as refugees who do not have Covid. There is very little medical support. Will the Minister, as a matter of urgency, have a look at this and see what can be done?
Lord Bethell (Con)
My Lords, we have done an enormous amount for those who have been working in domiciliary care. The noble Lord is entirely right to shine a spotlight on those who play such an important role in the community, caring for the elderly and the infirm. The amount of itinerant travel, where these workers move from one person to another, has been dramatically reduced—partly to reduce the fear of infection. PPE has been used and we are putting testing in place for those working in domiciliary care. I am extremely pleased to report that this has had a huge impact on infection rates, and we will ensure that they are prioritised in the vaccine rollout accordingly.
I did not get the full details of the particular issue raised by the noble Lord in his second question, but if he would be kind enough to send me an email, I would be glad to look into it as he requested.
Covid-19 Update
Lord Dubs Excerpts(3 years, 12 months ago)
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Lord Dubs (Lab) [V]
I apologise. Does the Minister have any estimate of the number of people who are currently in self-isolation? Does he agree that if these people were to be given high priority for testing, their period of self-isolation would be shortened and more people would be willing to go into self-isolation because they would not lose so much money if they could be tested quickly and resume their ordinary lives?
Lord Bethell (Con)
The noble Lord hits the nail on the head. We have already brought into place a test-to-release programme for foreign visitors and we are looking at ways in which such a principle could be applied elsewhere.
Covid-19: South Yorkshire
Lord Dubs Excerpts(4 years, 1 month ago)
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Lord Bethell (Con)
My Lords, grants will be available from 1 November, will be administered by local authorities and will remain in place until April 2021, with a review point in January. The funding will apply only to England and, if applied across the country, would provide over £250 million of support each month.
Lord Dubs (Lab) [V]
The Minister was asked about exit strategies from tier 3 or any of the tiers. He said that the answer was part art and part science. Will he assure us that that does not mean that when the Government do not feel like accepting science, they will simply be vague and ignore what the scientists say? He also referred to travel. Has he looked at the position at German airports, a point raised with him yesterday or the day before? Can we look again at checking people on arrival at airports? I know that one cannot be sure but checking on arrival and again a few days later would prevent the need for long periods of quarantine that are difficult for people to cope with. They may lose a lot of money and their jobs. Can we look again at this?
Lord Bethell (Con)
The noble Lord is right that the situation at airports is distressing and has caused huge damage to travel, the airline business and hotels. However, foreign travel represents a massive threat in forward transmission of the virus. Testing at airports catches only a tiny proportion of those infected, and quarantine arrangements are not wholly reliable. For that reason, we are running a pilot in the UK to see what can be done but we will tread cautiously.
Covid-19
Lord Dubs Excerpts(4 years, 1 month ago)
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Lord Bethell (Con)
My noble friend illustrates the complexity of trying to work with local authorities and the impact of giving local authorities the discretion to make decisions on their own. In this area, in tier 3, we gave discretion to local authorities on their gyms. Merseyside decided to close its gyms and Lancashire did not. It is entirely appropriate for them to make their own assessment. I confess to feeling a real and genuine dilemma when it comes to gyms. My noble friend is entirely right that activity is important, particularly at a time of lockdown. However, medical advice on hygiene is that the spray from exertion and sweaty bodies is very difficult to contain, even in a well-meaning and well-managed gym. That is why we have given local authorities that choice and why we keep the matter under review.
Lord Dubs (Lab) [V]
My Lords, I have two brief questions. Somebody I know received the following message on their mobile phone:
“Possible COVID-19 exposure. Verifying exposure info. The app has accessed the date, duration and signal strength of this exposure.”
Can the Minister say what this means? Is the recipient supposed to do anything about it or is this some maverick message? My second question is on a different point. Does the Minister agree that there are people in this country who are too apprehensive about the possible quarantine to go abroad and so have to quarantine on their return to this country? Could we not adopt the system, which certainly seems to be working in Germany, that we offer testing for people arriving from areas where they are liable to be quarantined, possibly testing them two or three days later? That means they would not have to be in quarantine for two weeks and risk losing their job, and so on. Could we not adopt that simple expedient?
Lord Bethell (Con)
I reassure the noble Lord that his friend’s notification came from a new feature of Apple phones called “Exposure Notifications Express”. This is something that we have worked hard to incorporate in the existing app. I slightly suspect that, if she has a new version of the NHS app, she will not receive these notifications any more. We are grateful to Apple for enabling its phones to work in developing countries, but there has been some turbulence with our own app, which we think we have resolved.
On quarantines, I say that, as a follower of these debates, the noble Lord will know that the CMO’s view is that testing on arrival will capture only 7% of infections, and it is very difficult to apply quarantines to get people to commit to staying longer. However, we are committed to running pilots to try to open the kinds of schemes that he describes, and I would be happy to report back on their development.
Health Protection (Coronavirus, Local COVID-19 Alert Level) (Very High) (England) Regulations 2020
Lord Dubs Excerpts(4 years, 1 month ago)
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Lord Dubs (Lab) [V]
My Lords, I support my noble friend’s amendment. Just before this debate began, I was downstairs at home, switched on my television, and Andy Burnham was on, the Mayor of Manchester. His concern was that Manchester might shortly be put in the “very high” category, and he made the plea that local government should be properly involved and consulted in those decisions, as opposed to being bypassed, which seems to have been the plea of local authority leaders for several months now. It is time that the Government trusted local authorities of whatever political complexion. They should also trust scientific advice. I have listened to earlier discussions today and other discussions in the Commons, too, and I have yet to hear one argument why the SAGE advice was not accepted at the time, on 21 September.
Somebody asked what the advantage would be of a circuit-breaker. I think that the advantage is that it would buy time to properly implement a trace and test system, which we do not have at the moment.
I want to make two other points. One is about smartphones. I have one, but it is too old or not of the right type to be part of this track and trace system. So apart from the many people in this country who do not have a smartphone at all, there are also many of us who have smartphones that are too old, and that will cause a problem.
My other point is that there is a real uncertainty about what travel is appropriate or being advised against. The Welsh Government are concerned about people moving into Wales from higher-risk areas. What is the Government’s advice about travel, not just within very high category areas but from one to another?
I finish by saying that we should trust local authorities and scientific advice, and trust the people of this country to do the right thing.
The Deputy Speaker (Lord Faulkner of Worcester) (Lab)
The noble Baroness, Lady Wheatcroft, is apparently not taking part in this debate. I call the noble Lord, Lord Desai.
Social Care Workers
Lord Dubs Excerpts(4 years, 1 month ago)
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The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con)
My Lords, there is no doubt that we need more people to choose to work in social care. Prior to the pandemic, the vacancy rates for care workers in residential care and domiciliary care were 6.4% and 11.4% respectively. By June 2020, that had declined to an overall rate of 6.6%. We would like to see this number reduced further, which is why we are taking action to support recruitment nationally, and we expect local authorities to support care providers locally.
Lord Dubs (Lab) [V]
My Lords, yesterday the Prime Minister promised again to deal with the problem of social care. First, how will the Government fill these vacancies as a matter of urgency? Secondly, what priority will there be for social care in the Government’s digital and healthcare strategy?
Lord Bethell (Con)
My Lords, the immediate focus is on the national recruitment campaign across broadcast, digital and social media. We acknowledge that there needs to be more recruitment in social care. Encouragingly, the vacancy rate is down, from 7.8% to 6.6%, but we recognise that more needs to be done. We have launched the CARE brand to try to create a stronger employment brand around the care profession.
Health Protection (Coronavirus, Restrictions) (No. 2) (England) (Amendment) (No. 2) Regulations 2020
Lord Dubs Excerpts(4 years, 2 months ago)
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Lord Dubs (Lab) [V]
My Lords, it is, of course, unsatisfactory that we are debating these regulations some time after they have come into effect. The Government may say that there is no alternative. We are sometimes giving venues too little notice to take advantage of any relaxation. My key point is lack of clarity. If we want public support for what we are doing—and it will not work without it—then the public have to understand what is happening and why. I talk to people and they do not know. Sometimes they ask my advice and I am not an expert on this at all. Unless we are clear, the public will not respond, and we cannot expect them to. That is a big gap in what the Government are doing.
Next, we are being unfair to the police. Things change very quickly, and the police are being asked to operate in the most difficult circumstances, when there is a lack of knowledge and sympathy for what they are trying to do. We are putting a totally unreasonable burden on the police and we should not be asking them to do it. If we had a bit more clarity, the police might be able to respond better. It is hard to know how people should behave. I have been told of occasions when people were sitting on trains without wearing masks, but the train staff said nothing. It is not only the police; other officials are being put in a very difficult position. They do not want to have a bust-up or a row, so I urge that we be much clearer.
Lastly, it is not at all clear when the rule of 30 applies and when the rule of six. I would welcome some clarity from the Minister on that.
Health Protection (Coronavirus, Wearing of Face Coverings in a Relevant Place) (England) Regulations 2020
Lord Dubs Excerpts(4 years, 2 months ago)
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Lord Dubs (Lab) [V]
My Lords, I very much support the amendment to the Motion in the name of my noble friend Lady Thornton. I agree with many of the comments that have been made; I pick out my noble friend Lady Massey, who said a lot of things with which I agree.
We must avoid inconsistency. If there is inconsistency in applying advice, guidance and compulsion in the use of face masks then the public will not support it. It is essential that the public understand what is going on. In my experience, I have seen members of the public being pretty good about going into shops, and I understand that on public transport they are not bad, but there are lapses.
I have a number of questions. Why do employees, particularly in shops, not have to wear face masks? It is a signal to customers if the staff in shops are wearing masks, and in a way it encourages sloppiness if they are not wearing them while we have to.
The public need to understand what the benefits are. Are the benefits for the wearer or for the person they are talking to? I wonder whether I should have a T-shirt made that has on the front, “My mask protects you”, and on the back, “Your mask protects me”. Does the Minister agree that that reflects the policy?
Should we not make masks compulsory outdoors, certainly in cities? I believe that is the case in parts of France and parts of Spain. Walking along a shopping street before even going into a shop, one comes into contact with many people. Why not make masks compulsory in shopping centres, where we would protect people going shopping? I understand that the practice varies from one country to another and that is why there is uncertainty.
I asked a question about police powers in the earlier debate, but I do not think the Minister answered it. What are the police powers in this? If they see people walking into shops, is it the shopkeeper or the shop staff who should say, “Get out unless you have a mask on”, or should the police be invoked into doing that? A similar question applies on public transport.
My main plea is the one that I started with: there must be consistency and there must be understanding on the part of the public. That way, we can make the policy work.
Covid-19 Update
Lord Dubs Excerpts(4 years, 2 months ago)
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Lord Bethell (Con)
The noble Baroness absolutely speaks my language when she talks about the technology that is being brought into the front line. My sincere hope is that Covid will bring a benefit to the healthcare system by being an inflection point whereby we introduce new technologies in a whole host of fields to bring in much greater community-based treatment for people, digital technology and the more effective sharing of data, among a wide range of technical advances. Regarding the workforce, I completely sympathise with the noble Baroness’s comments. I pay tribute to those who work hard on the front line and am aware of the challenges and difficulties they face. This Government have committed to recruiting 50,000 more nurses. We are more than half way there already, and we will continue to recruit to ensure that we have the human resources needed to meet our commitments.
Lord Dubs (Lab) [V]
My Lords, what is the policy regarding the testing of domiciliary social care workers? What is being done to ensure that these people—who are at risk themselves and meet and support the very vulnerable, travelling around to different people every day—have full protective equipment and that they use it?
Lord Bethell (Con)
The noble Lord is entirely right to emphasise the challenge of itinerant domiciliary care. Such workers were always a vector for potential disease and are putting their own lives on the line. That is why we have radically changed the guidelines. We have put more resources in place to ensure greater support for domiciliary care, PPE is stocked for them to use and there is regular individual testing
Childhood Obesity
Lord Dubs Excerpts(4 years, 2 months ago)
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The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con)
My Lords, we published Tackling Obesity: Empowering Adults and Children to Live Healthier Lives on 27 July. The strategy demonstrates an overarching campaign to reduce obesity, takes forward actions from previous chapters of the childhood obesity plan and sets out measures to get the nation fit and healthy, protect against Covid-19 and protect the NHS.
Lord Dubs (Lab) [V]
My Lords, if the Government persist in abolishing Public Health England, who will be responsible for policies to tackle obesity? Secondly, does the Minister agree that tackling obesity, especially childhood obesity, requires more than a few policy headlines but rather a whole-government approach that includes healthcare, education, local government, transport, finance, the built environment, sports provision, advertising—especially social media—and scientific research, plus a focus on preschool children, disadvantaged groups and involving young people themselves?
Lord Bethell (Con)
My Lords, I pay tribute to those at Public Health England who brought together the obesity strategy announced in July and who will continue to work on the obesity strategy. We are consulting on where the ultimate home for that team should be. I emphasise that the obesity strategy launched in July was the most holistic and joined-up piece of policy on obesity in recent times. I emphasise that the money that has come from the sugar tax is now going to pay for sports in schools.